Nursing Alumni of Distinction Nomination Form

Notes for Nominators:

All letters of support are confidential and will be viewed only by members of the Selection Committee.
It is recommended that the nomination remain confidential and not shared with the nominee.
Posthumous nominations will not be accepted.
Bullet points are preferred.
We look forward to receiving your nomination.

Name of Nominee

Degree and Year of Graduation (if known)

Address

City

Country

Postal Code

Current Telephone Number

This Nominee is being submitted for:

Nursing Alumni of Distinction Award

Rising Star Award

Name

Address

City

Country

Postal Code

Current Telephone Number

Relationship to Nominee

1. Your reasons for nominating the candidate, as related to the award criteria.

2. A description of the candidate’s accomplishments, successes and contributions pertaining to the award.

3. Any other information about the candidate that might assist the Nursing Alumni Chapter.

4. Please attach letters of support. (2 maximum)

5. Optional - Please attach a current C.V. if available.

Please submit the full nomination package by June 15th.
Direct any questions about the awards to Natalie Devereux, Alumni Engagement Officer.